Nurse Practitioner
- Competitive salary
- Flexible schedule
- Opportunity for advancement
- Conduct comprehensive CCM assessments and ongoing monthly care management
- Develop, implement, and update individualized care plans
- Monitor chronic conditions (e.g., CHF, COPD, diabetes, hypertension, dementia)
- Coordinate care with physicians, specialists, caregivers, and community resources
- Provide patient and family education and support via phone or telehealth
- Identify gaps in care and intervene proactively to prevent hospitalizations
- Document CCM activities accurately in accordance with Medicare guidelines
- Support compliance with CMS CCM requirements and quality measures
- Collaborate with agency leadership to grow and enhance the care management program
- Active Nurse Practitioner license (state-specific)
- National NP certification (AANP or ANCC)
- Minimum 2 years of clinical experience (primary care, geriatrics, home care, or care management preferred)
- Experience with chronic disease management and care coordination
- Familiarity with Medicare CCM services and documentation requirements (preferred)
- Strong communication, organization, and time-management skills
- Comfortable working independently in a remote or hybrid environment
- EMR experience required
- Competitive compensation
- Flexible schedule (ideal for work-life balance)
- Opportunity to help build and shape a growing CCM program
- Collaborative, mission-driven work environment
- Supportive leadership and administrative support
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